Organization Active NPI

Physioworks Inc

  • Physical Therapist
  • North Port, FL
National Provider Identifier
1700940020
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4313 Issued in FL
Legal business name
PHYSIOWORKS INC
Practice address
1279 N Sumter Blvd
North Port, FL 34286-8021
Phone
(941) 240-8602
Fax
(941) 240-8607
NPI assigned
Dec 21, 2006
Last updated
Feb 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Richard Barletta, MPH, PT
Title
President
Phone
(941) 497-1737

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT4313 FL Primary
Occupational Therapist 225X00000X OT3289 FL

Addresses

Primary practice location

1279 N Sumter Blvd
North Port, FL 34286-8021

Mailing address

1279 N Sumter Blvd
North Port, FL 34286-8021
Phone (941) 240-8602

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060309000339 FL Part A Provider - Outpatient Physical Therapy/Occupational Therapy/Speech Pathology Services 7012924418 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Venice, FL

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

1279 N Sumter Blvd
North Port, FL 34286
Phone (941) 240-8602

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203465600000",
    "number": "1700940020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1279 N SUMTER BLVD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342868021",
            "telephone_number": "941-240-8602",
            "fax_number": "941-240-8607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1279 N SUMTER BLVD",
            "city": "NORTH PORT",
            "state": "FL",
            "postal_code": "342868021",
            "telephone_number": "941-240-8602",
            "fax_number": "941-240-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIOWORKS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-21",
        "last_updated": "2008-02-20",
        "status": "A",
        "authorized_official_last_name": "BARLETTA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-497-1737",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT4313",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT3289",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Port, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.